WELCOME to Tan Tock Seng Hospital Rehabilitation Centre

WELCOME to Tan Tock Seng Hospital Rehabilitation Centre Singapore

TTSH Today 1, 456 beds TTSH Main Building 3, 900 staff 1, 172 beds • 66 ICU Rehabilitation Centre 95 beds • 1 isolation CDC 1 91 beds • 11 isolation CDC 2 94 beds • 18 ICU • 76 isolation

• Largest and most established in Singapore offering inpatient rehabilitation services • First set up in 1973 at Mandalay Road • Relocated to current location at 17 Ang Mo Kio Avenue 9 in April 1994.

Statistics (2009) • • Admissions per year Total patient days per year Average length of stay SOC attendances Therapy sessions Acupuncture Community Rehab Program 1, 090 27, 717 25. 8 days 9, 844 8, 768 3, 958 5, 225 sessions

Staffing by Professionals • Rehabilitation Specialists : 11 doctors with overseas experience in rehabilitation centers in US and Australia 1 doctor from South Korea • Junior doctors (residents) : 8 • Medical Admin Assistant : 1 • Allied Health (therapists, psychologists, MSW) : 70 • Nurses (all grades) : 95 • Ops and Admin : 11 • TOTAL : 197

Spinal Cord Injury Rehabilitation • Spinal Cord Injuries - complete - incomplete

Orthopaedics and Trauma Rehabilitation • Amputees • Arthritis • Musculoskeletal disorders

Stroke Rehabilitation • Different types of stroke - infarct - haemorrhagic

Brain Injury Rehabilitation • Individualised and comprehensive physician-led rehabilitation program • Able to manage the most complex brain injured patients

Community Rehabilitation Program • Provides rehabilitation services for patients in their home environment

Medical Acupuncture Services • Pain management • Complements physiotherapy and occupational therapy for patients with spinal cord injury, stroke, brain injury and musculoskeletal disorders

Leveraging on Technology to deliver customized care • Vestibular Rehabilitation using the Balance Master system • Advanced Gait Analysis Systems for clinical utility - Gait. Rite system for clinical analysis, outcomes monitoring and research • Robot-Assisted Gait Training with the Lokomat - commenced in September 2008

Vestibular Rehabilitation - Management of patients with dizziness and balance dysfunction by using the SMART Balance Master system

DYNAVISION - to provide training for persons whose visual and motor function has been compromised by injury or disease

GAITRite • Portable electronic walkway system measuring : - temporal (timing) - spatial (distance) gait parameters • connected to the serial port of a notebook computer • Advanced gait analysis

Robo. Walk Program The program involves the usage of a robotic gait orthosis (Lokomat system) which assists walking movements of patients

A Feasbility Study Using Interactive Commercial Off the Shelve Computer Gaming in Upper Limb Rehabilitation of Stroke Patients - accepted for publication 2010 Tjan SY, Xu D, Kong KH, Loh YJ, Christopher KWK, Thia CK • n = 20 stroke patients • mean 26. 3 days post-stroke • Each patient received 6 sessions gaming over 2 week period • Each session = 30 mins • Outcome measures : – 1) Fugl-Meyer Assessment (FMA) – 2) Motricity Index (MI) – 3) Modified Ashworth Scale (MAS) – 4) Visual Analog Scale (VAS) for pain

TTSH Rehabilitation Research Collaborations : Development of Advanced Rehabilitation Technologies

Haptic Knob research § Lambercy et al (2009) : Rehabilitation of grasping and forearm pronati / supination with the Haptic Knob

Research : Brain-Computer Interface (BCI) Robotic Rehabilitation for Stroke • Collaborative translational novel research funded by The Enterprise Challenge (S$650 000 for 1 year duration) • New rehab device based on advanced BCI technology developed at I²R using thought detection • Stroke patients undergoing rehab will control a robotic shell with the help of BCI • Randomised controlled clinical trial

Brain Computer Interface (BCI) for Rehabilitation TTSH Rehab Centre’s research collaboration with National Neuroscience Institute and A*STAR (Agency for Science, Technology and Research)

• Research collaboration with Nanyang Technological University of Singapore

Biofeedback Gait Device for Spinal Cord Injury and Stroke Patients TTSH Rehab Centre’s collaboration with Nanyang Technological University, Singapore